| NPI | 1720313588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALLIL I. KAZAN Director 313-228-5271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MI 5501009827) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-13 |